MEDICARE: PATIENCE JATO JANAMAH DNP, FNP-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	2023046131	MO
2	163W00000X	Registered Nurse	715960	NY
3	363LF0000X	Family Nurse Practitioner	227185	OK
4	363LF0000X	Family Nurse Practitioner	209034822	IL

General Provider Information

NPI Number	:	1447935556
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATIENCE JATO JANAMAH DNP, FNP-BC

Provider Business Mailing Address
First Line	:	10333 NW 26HT STREET
Second Line	:
City	:	YUKON
State	:	OK
Zip	:	73099
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	10333 NW 26TH ST
Second Line	:
City	:	YUKON
State	:	OK
Zip	:	73099-9576
Country	:	US
Telephone Number	:	347-777-0483
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/16/2023
Last Update Date	:	03/11/2026

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